Important Notifications

Important Notifications

HHS Secretary Alex Azar declared a Public Health Emergency in CA due to the wildfires. The declaration is attached below and is retroactive to November 8, 2018.

For public health emergencies the following must be put into place:

Part D – the lift for your Part D prescription drugs refill too soon edit will remain in effect until the emergency no longer exists or upon the expiration of the 90-day period beginning from the initial declaration, whichever occurs first.

Part C – cessation of Part C Prior Auth requirements for non-contracted providers will remain in effect until the emergency no longer exists or upon the expiration of the 90-day period beginning from the initial declaration, whichever occurs first.

Claims – the time is extended on lifting denials for no authorization for 90 days.

Website – the informational statement must remain on the website for 90 days

Due to Wildfires in the State of California, Acting Governor Gavin Newsom declared a state of emergency in the following Counties: Los Angeles and Ventura

Your health and safety are our primary concerns and if you leave your home to avoid this emergency, we do not want any undue barriers to keep you from getting your medication or to seeing a medical professional.

For our members who live in one of these impacted areas, we have removed the refill too soon edits for your Part D Prescription Drugs, and removed the out-of-network authorization requirements for out-of-network providers. You must still use Medicare certified facilities and providers.

Prior authorization for medical services or medication may still be needed for medical necessity. This change is in effect until the emergency notice is closed or 7 December 2018, whichever is earlier.

For public health emergencies, the lift for your Part D prescription drugs refill too soon edit will remain in effect until the emergency no longer exists or upon the expiration of the 90-day period beginning from the initial declaration, whichever occurs first.

Due to the West Fire in the State of California, Governor Brown declared a state of emergency in the San Diego County.

Your health and safety are our primary concerns and if you leave your home to avoid this emergency, we do not want any undue barriers to keep you from getting your medication or to seeing a medical professional.

For our members who live in one of these impacted areas, we have removed the refill too soon edits for your Part D Prescription Drugs, and removed the out-of-network authorization requirements for out-of-network providers. You must still use Medicare certified facilities and providers.

Prior authorization for medical services or medication may still be needed for medical necessity. This change is in effect until the emergency notice is closed or August 6, 2018, whichever is earlier.

For public health emergencies, the lift for your Part D prescription drugs refill too soon edit will remain in effect until the emergency no longer exists or upon the expiration of the 90-day period beginning from the initial declaration, whichever occurs first.

Health Net Medicare Advantage for California

Welcome and thank you for your interest in Health Net's Medicare Advantage Plans! Whether you are looking to improve your health overall or simply focused on staying healthy, Health Net Medicare Advantage for California is here for you. We know that being healthy takes more than just medical care. That’s why you’ll get personal care from our case managers and our licensed sales representatives who can even come to your place of residence to help you learn about your Medicare options.

Who is Health Net Medicare Advantage for California? We are a group of people dedicated to helping you feel your best by providing top-notch service and a Medicare Advantage plan that allows you to get the health care you need. We know the unique health challenges that people in California face because we live here, too. We are a local health insurance plan serving the people we see every day ― at our grocery stores, movie theaters, and community events.

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Due to Wildfires in the State of California, Acting Governor Gavin Newsom declared a state of emergency in the following Counties: Los Angeles and Ventura

Your health and safety are our primary concerns and if you leave your home to avoid this emergency, we do not want any undue barriers to keep you from getting your medication or to seeing a medical professional.

For our members who live in one of these impacted areas, we have removed the refill too soon edits for your Part D Prescription Drugs, and removed the out-of-network authorization requirements for out-of-network providers. You must still use Medicare certified facilities and providers.

Prior authorization for medical services or medication may still be needed for medical necessity. This change is in effect until the emergency notice is closed or 7 December 2018, whichever is earlier.

For public health emergencies, the lift for your Part D prescription drugs refill too soon edit will remain in effect until the emergency no longer exists or upon the expiration of the 90-day period beginning from the initial declaration, whichever occurs first.

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These contracts are renewed annually, and availability of coverage beyond the end of the contract year is not guaranteed. These plans may not be available to Medicare beneficiaries in the following contract year because, by law, plan sponsors, like Health Net, can choose not to renew their contract with CMS, or they can reduce their service area, and/or CMS may also refuse to renew the contract, thus resulting in a termination or non‑renewal.

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Health Net's Online Enrollment is not available for Employer Groups and/or unions. Contact your Benefits Administrator if you currently receive health care benefits through an employer and/or union.

Individuals must have both Part A and Part B to enroll. Medicare beneficiaries can only enroll in these plans during certain times of the year and must continue to pay their Medicare Part B premiums. However, for full-dual beneficiaries, the State will cover your Part B premium as long as you retain your Medicaid eligibility. Plan benefits and cost-sharing may vary by plan, county and region or the level of Extra Help you receive. Contact us for more information.

The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.

Every year, Medicare evaluates plans based on a 5-star rating system.

Health Net complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Non-discrimination Notice

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